NPI | 1780834457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC 8560) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CO 9130) |
Enumeration Date | 2008-09-30 |
Last Update Date | 2024-05-06 |